Individual provider Active NPI

Jessica Simpson, NP

  • Family Nurse Practitioner
  • Clovis, NM
National Provider Identifier
1528639200
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
64342 Issued in NM
Practice address
2301 N Dr Martin Luther King Jr Blvd
Clovis, NM 88101-9401
Phone
(575) 762-4455
NPI assigned
Jul 5, 2021
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1048023 TX
Family Nurse Practitioner 363LF0000X 64342 NM Primary

Addresses

Primary practice location

2301 N Dr Martin Luther King Jr Blvd
Clovis, NM 88101-9401

Mailing address

2332 Flagstone Dr
Clovis, NM 88101-1075
Phone (978) 259-3966

Other practice location 1

2332 Flagstone Dr
Clovis, NM 88101-1075
Phone (978) 259-3966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210811004101 NM Practitioner - Nurse Practitioner 9537563630 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clovis Family Urgent Care LLCGroup PAC ID 4284095324, 9 clinicians

Practice addresses (Care Compare)

2301 N Dr Martin Luther King Jr Blvd
Clovis, NM 88101-9401
Phone (575) 762-4455

921 E 21St St
Suite E
Clovis, NM 88101-4443
Phone (575) 221-9663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
64342NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curbside Wellness Clinic LLC Family CurrentSince Aug 1, 2025 Accepting new patients
Clovis Family Urgent Care LLC CurrentSince Apr 24, 2024 Accepting new patients

Locations

2301 N Mlk Blvd
Clovis, NM 88101
Phone (575) 762-4455

921 E 21st St
Ste E
Clovis, NM 88101
Phone (575) 221-9663

Interoperability endpoints

  • Direct secure messaging: jessica.simpson@151406265106436.direct.elationemr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1528639200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2332 FLAGSTONE DR",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881011075",
            "telephone_number": "978-259-3966",
            "fax_number": "914-259-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N DR MARTIN LUTHER KING JR BLVD",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881019401",
            "telephone_number": "575-762-4455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2332 Flagstone Dr",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "NM",
            "postal_code": "881011075",
            "country_code": "US",
            "telephone_number": "978-259-3966",
            "fax_number": "914-259-5377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "JESSICA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-05",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1048023",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "64342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, NM

Sources for this page

Verify at the official NPI Registry.